P04-02 Are Older Adults Adhering to the Strength Component of the Physical Activity Guidelines?

Abstract Background In 2019, the UK prominently placed the strength recommendations on their Chief Medical Officers' Physical Activity Guidelines infographic. The purpose of this study was to offer a nuanced description of older adults' awareness, understanding, and participation in activities that meet the strength component, as well as their perceived barriers to strength training participation. Methods Older adults living in the UK (n = 15, 70±3.3 years) volunteered to participate in one 30-minute, semi-structured, one-on-one interview on Zoom with the lead author. Advertisements were placed in ageing charity newsletters. People who identified as 65 years old or over and living in the UK were asked to respond via email if interested. Results Awareness. None of our participants were aware of the strength recommendations. “I honestly can't say that I ever recall seeing that.” Understanding and Action. Walking was the most common modality for participants who believed they were meeting the strength guidelines. “I think I'm more than meeting them because … I do masses of walking …” Suggestions for Improvement. Adding more detail to the guidelines and separating the guidelines based on ability, rather than chronological age, was suggested. “It's a bit subjective as to what counts as building strength.” Barriers to Strength Training. Barriers included misconceptions about strength training in later life, “You know, you always know, don't overload yourself…I never push it.” and a lack of options for older adults who are not quite ready for classes for the oldest old, “There's a big cohort of us that are what you might call young old and the provision for us who are fit and active is sadly missing…the classes that are on are always for the older old” Conclusion Our participants reported an unawareness of the strength guidelines. Adherence reporting to the strength guidelines should be interpreted with abundance of caution, as older adults are largely unaware of what activities fulfill this requirement. Researchers & practitioners can influence the many barriers to strength training participation primarily with dissemination of accurate information and providing age & ability-appropriate strength prescription.


Conclusions
The participatory physical activity intervention in this study does not change physical activity level but does improve some elements of physical fitness. The research methods used in this study offers a protocol to align intervention plans to the students' assets by co-creation which is feasible to use in the school context. participation in sport and PA. The purpose of this research is to locate and describe the features and impact of SRM led interventions on female participation in sport and PA. Methods APA PsychInfo, PudMed, and Sport Discus databases was used to identify SRM led interventions. In sum, 7,169 papers were identified with 360 duplicates. A further 5,122 were removed from title screen, 1,666 from abstract screening, 21 from full text review with two studies included in the final review.

Results
Two SRM led interventions were included in the final review and were deemed as 'fair' quality using Black and Downs Checklist. The first study1 aimed to improve attendance in PE, behaviour and attitude towards PA through a 12-week school based intervention. Schools were funded to complete a novel sport rolled out by teachers (group 1), with a second group having an additional visit from an elite 'athlete mentor' (group 2). The study found 98% of students enjoyed the athlete visits a a a d s a d of the STEADI (Stopping Elderly Accidents, Deaths & Injuries) questionnaire. At the same time, they also performed an assessment of muscle strength, gait and balance with a timed framed Stand up and go test. Afterwards patients were classified into 3 groups (low, medium, and high risk of falls) and were treated according to the Algorithm for the assessment of the risk of falls for the elderly and prevention measures. Results (effects/changes) 6815 fall risk assessments were conducted (results are preliminary). More details will be presented at the HEPA conference as the data is still being processed. Based on the expected population distribution, mobility and nutrition

Background
In 2019, the UK prominently placed the strength recommendations on their Chief Medical Officers' Physical Activity Guidelines infographic. The purpose of this study was to offer a nuanced description of older adults' awareness, understanding, and participation in activities that meet the strength component, as well as their perceived barriers to strength training participation. Methods Older adults living in the UK (n = 15, 70AE3.3 years) volunteered to participate in one 30-minute, semi-structured, one-on-one interview on Zoom with the lead author. Advertisements were placed in ageing charity newsletters. People who identified as 65 years old or over and living in the UK were asked to respond via email if interested.

Results
Awareness. None of our participants were aware of the strength recommendations. ''I honestly can't say that I ever recall seeing that.'' Understanding and Action. Walking was the most common modality for participants who believed they were meeting the strength guidelines. ''I think I'm more than meeting them because . . . I do masses of walking . . .'' Suggestions for Improvement. Adding more detail to the guidelines and separating the guidelines based on ability, rather than chronological age, was suggested. ''It's a bit subjective as to what counts as building strength.'' Barriers to Strength Training. Barriers included misconceptions about strength training in later life, ''You know, you always know, don't overload yourself. . .I never push it.'' and a lack of options for older adults who are not quite ready for classes for the oldest old, ''There's a big cohort of us that are what you might call young old and the provision for us who are fit and active is sadly missing. . .the classes that are on are always for the older old'' Conclusion Our participants reported an unawareness of the strength guidelines. Adherence reporting to the strength guidelines should be interpreted with abundance of caution, as older adults are largely unaware of what activities fulfill this requirement. Researchers & practitioners can influence the many barriers to strength training participation primarily with Background Normal aging is associated with progressive functional loss in many cognitive domains, including working memory, attention (van Raalten et al., 2008) and executive functions (Nyberg et al., 2008), responsible for the control of behavioral activities (Miller & Cohen, 2001). Research aim was to evaluate postural control and executive function during dual tasking in physically active and inactive old adults. Methods Participants were 42 older healthy human males and females (Mean age: 70.17AE6.08 years). Posturography method with a single piezoelectric force plate was used to measure postural sway activity. For the evaluation of cognitive functions, we used Word Memory task with ten audio-recorded words (Lithuanian nouns) in each trial, and the Mathematical Processing Task, where negative or positive one-digit integer-numbers (10 in total) were presented in each trial at 2-second intervals. Physical activity of participants was evaluated according to WHO recommendations.

Results
The study showed that there was a strong correlation between physically active time spent and balance behavior. The balance of physically active older people was statistically significantly more stable when they performed cognitive tasks than that of those who were physically inactive. Dual-task interferences on postural sway were evident in both Word Memory task and the Mathematical Processing Task conditions. Dual-task effect on Mathematical Processing Task and Word Memory task was not statistically different.

Discussion
Taken together, we suggest that physical activity improves proprioceptive control which also improves balance control. In so with that Abstract citation ID: ckac095.058 P04-04 Non-invasive biomarkers with high discriminant ability indicative of musculoskeletal health with ageing

Background
The use of large-scale pooled analyses and data sharing is a potential source to generate evidence to address complex scientific challenges and develop strategies to promote healthy ageing. However, the success of such analyses depends on robust measurements of musculoskeletal (MSK) health in ageing. Simple tests indicative of MSK health and suitable for use with older people are required. This study aims to assess the discriminatory ability of a combination of routine physical function tests and novel measures, notably muscle mechanical properties and ultrasound imaging of thigh composition (relative contribution of muscle and subcutaneous adipose tissue) to classify healthy individuals according to their age and gender.

Methods
This cross-sectional study included 138 community-dwelling, self-reported healthy males and females (65 young, mean ageAESD = 25.7AE4.8 years; 73 older, 74.9AE5.9 years). Handgrip strength; quadriceps strength; respiratory peak flow; timed up and go; stair climbing; anterior thigh tissue thickness (using ultrasound imaging), muscle mechanical properties (stiffness, tone and elasticity; Myoton technology); and self-reported health related quality of life (SF36) were assessed. Stepwise linear discriminant analysis was used to classify cases based on criterion variable derived from the known effects of age on physical function.

Results
Combining conventional physical function tests with novel measures, revealed two discriminant functions which significantly (Wilks's = 0.05, 0.34; p>0.001) classified 89% of grouped cases with 11% error rate using leave-one-out crossvalidation. Seven variables associated with grip strength, peak flow, timed up and go, anterior thigh thickness, and muscle mechanical properties demonstrated high discriminant ability (p>0.05 correlation with discriminant functions) to classify healthy people.